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Related Experiment Video

Updated: May 26, 2025

Reverse Total Shoulder Arthroplasty
10:10

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Published on: July 5, 2011

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Radiological and Clinical Outcome Differences Between Standard and Short Stem in Reverse Total Shoulder Arthroplasty:

Mauro Ciuffreda1,2, Antongiulio Lentini1,2, Giuseppe Francesco Papalia1

  • 1Department of Orthopedic and Trauma Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Roma, Italy.

Medical Sciences (Basel, Switzerland)
|February 21, 2025
PubMed
Summary

Short stems in cementless reverse total shoulder arthroplasty (RTSA) show similar clinical outcomes to standard stems, despite some radiological differences. Both implant types are viable options for patients undergoing RTSA.

Keywords:
cementlessclinical outcomesradiological outcomesreverse shoulder arthroplastyshort stemstandard stem

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering
  • Radiology

Background:

  • Short cementless humeral components are increasingly used in reverse total shoulder arthroplasty (RTSA).
  • A comparison between short and standard stems in RTSA is needed to evaluate outcomes.

Purpose of the Study:

  • To compare radiological and clinical outcomes of cementless RTSA using short versus standard humeral stems.
  • To assess the impact of radiological changes on clinical outcomes.

Main Methods:

  • Systematic electronic search of PubMed, Scopus, and Cochrane Library.
  • Inclusion of studies assessing radiological/clinical outcomes and complications of cementless RTSA with short/standard stems (≥1 year follow-up).
  • Extraction of radiological (subsidence, loosening, osteolysis) and clinical (pain, functional scores) data.

Main Results:

  • 13 studies with 1485 shoulders analyzed.
  • Short stem group showed worse radiological outcomes (loosening, lucencies, osteolysis).
  • No significant differences in clinical outcomes or overall complications between stem types.

Conclusions:

  • Both short and standard stems are valid options for cementless RTSA.
  • Minimal radiological differences favor short stems, but clinical outcomes are similar.
  • Postoperative clinical results are comparable between short and standard stems.